Northeast Ophthalmology PLLC

Primary specialty

Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X

Legal business name

NORTHEAST OPHTHALMOLOGY PLLC

Practice address

767 Troy Schenectady Rd Ste 1
Latham, NY 12110-2446

Phone

(518) 690-7020

Fax

(518) 690-7022

NPI assigned

Jan 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Kepner

Title

Asst Manager

Phone

(518) 650-5169

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Wight Lopasic, MD

  • Ophthalmology Physician
  • Latham, NY
  • NPI 1780607622
  Medicare reassignment Care Compare group NPD
• Rebecca McNeill Sieburth, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1760846257
  Medicare reassignment Care Compare group NPD
• Michael Belhumeur, OD

  • Optometrist
  • Latham, NY
  • NPI 1467971200
  Medicare reassignment NPD
• Taylor Champagne

  • Optometrist
  • Latham, NY
  • NPI 1770266314
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1689530784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 TROY SCHENECTADY RD STE 1",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102446",
            "telephone_number": "518-690-7020",
            "fax_number": "518-690-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 TROY SCHENECTADY RD STE 1",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102446",
            "telephone_number": "518-690-7020",
            "fax_number": "518-690-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASST MANAGER",
        "authorized_official_telephone_number": "518-650-5169"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Colonie Central School District
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• Amy Andrukonis Nylund
• Jacquelyn O'Connor, PSYD
• Katherine Anna O'Connor, PHD
• Zyra Cortez O'Connor, M.D.

• Neuro-ophthalmology Physician in Latham, NY
• Providers in Latham, NY by specialty
• Neuro-ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.